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QT-Digital Mental Health Engagement Study
Optimizing Engagement With Digital Mental Health Services Among Sexual And Gender Minority Consumers
Who can join
Ages 14 and older · All sexes · Healthy volunteers welcome
Full eligibility criteria
Inclusion Criteria: * Users of the Mental Health America (MHA) website engaging from Internet Protocol (IP) addresses in the United States * Completed the PHQ-9 depression screener in English * Answered MHA's standard demographic questions that identify users as age 14 and older * Answered MHA's standard demographic questions that identify users as LGBTQ+. Exclusion Criteria: * IP addresses outside of the United States * Do not answer MHA's standard demographic questions * Answered MHA's standard demographic questions that identify users as age 13 and younger * Answered MHA's standard demographic questions that identify users as not LGBTQ+.
About the study
Sexual and gender minority (SGM) populations are disproportionately impacted by mental health concerns relative to their heterosexual and cisgender peers. Despite high need, SGM populations continue to report unmet mental health needs because they cannot or do not access mental health services. Digital Mental Health (DMH) services have been recognized as feasible, economical, and effective options to broaden the availability of mental health care to consumers who face barriers to mental health help-seeking. SGM consumers cite a preference for DMH care and this delivery format holds promise to attend to major mental health care access barriers experienced by this consumer group. Yet, the availability of DMH services tailored to the needs of SGM consumers is limited, and a dearth of research examines SGM populations' actual engagement with DMH services. A potential solution to fully understand how SGM populations utilize DMH services would be to characterize their engagement within a natural setting. Leveraging an established partnership with Mental Health America (MHA), a non-profit mental health advocacy group offering free, evidence-based screenings and self-guided DMH resources, this study will follow a large, naturalistic sample of SGM DMH consumers with the aim to test tailored engagement strategies with SGM DMH consumers using a micro-randomized trial (MRT) design. Results of this study will inform if delivering engagement strategies can meaningfully increase initial and sustained engagement with MHA resources and which types of strategies, specifically, work best for which users.
What is being tested
- HAPA Engagement Strategies (behavioral)
Sponsor: University of Washington · Participants: 2,300 · Started: Mar 12, 2026
Contact the study team
- Meghan Romanelli, PhD · Phone: 206-685-6948
Official record on ClinicalTrials.gov — NCT07278765
Locations in the U.S.
| Virginia | Mental Health America, Alexandria |
| Washington | University of Washington, Seattle |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.